THE FALACIOUS INTRICACIES AND TRANSMOGRIFICATION OF FALLOPIAN TUBES AFTER TRANSECTION/STERILIZATION WITH CORRELATION TO AGE AND COMORBIDITIES-A 3 YEAR STUDY IN SECONDARY CARE CENTRE IN NORTH EAST INDIA

Maj(Dr) Ragini Thapa; Lt Col(Dr) Sinam Tombi Meetei; Col(Dr)Prosenjit Ganguly

Volume : VIII, Issue : II, February - 2019

THE FALACIOUS INTRICACIES AND TRANSMOGRIFICATION OF FALLOPIAN TUBES AFTER TRANSECTION/STERILIZATION WITH CORRELATION TO AGE AND COMORBIDITIES-A 3 YEAR STUDY IN SECONDARY CARE CENTRE IN NORTH EAST INDIA

Maj Dr Ragini Thapa, Lt Col Dr Sinam Tombi Meetei, Col Dr Prosenjit Ganguly

Abstract :

Tubal diseases are important causes for female infertility, the aetiology and pathophysiology of many tubal diseases are confusingly understood. There are only few studies documenting histologic changes in fallopian tubes removed for all reasons. The histopathological study of spectrum of lesions encountered in fallopian tubes, had tubal pathology with inflammatory lesion forming major group followed by tubal ectopic pregnancy and rare atypia’s of the lining epithelium. Tubal carcinomas were infrequent. The main aim of this study was to study about the lesions that were encountered in relation to the transected specimens correlating with the age of occurrence of the female patients.306 cases of transected serial and longitudinal fallopian tubes either sent alone or as a part of another gynaecological specimen were assessed. Many of these patients had pregnancies following their sterilizations. The histologic findings at the previous surgical sites were compatible with what would be expected for a normal healing process. Maximum cases of tubal pathology were that of inflammatory lesions in the age group of 21–30 years. The histopathological findings of proximal luminal dilatation, plical attenuation, chronic inflammatory infiltrates, pseudo polyp formation, and the findings of plical thickness in the segment of remaining tube after an interruption type of procedure seem to be associated with the length of time from the sterilization procedure.